How much rates vary
Facilitymedian $759 · 10th to 90th $83 to $1,318Professionalmedian $155 · 10th to 90th $48 to $195
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $186.21 | Facility | None | $123.03 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $91.20 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $44.67 Typical High $51.29 | Professional | 26 · Professional part | $17.38 | $44.67 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $64.57 | $104.71 | $199.53 |
BCBS Idaho Setting Facility Modifier None Typical Low $288.40 Median $776.25 Typical High $1,318.26 | Facility | None | $288.40 | $776.25 | $1,318.26 |
BCBS Idaho Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $165.96 | Professional | None (both parts) | $131.83 | $154.88 | $165.96 |
BCBS Idaho Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $53.70 | Professional | 26 · Professional part | $41.69 | $48.98 | $53.70 |
BCBS Idaho Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $91.20 | $107.15 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,230.27 Typical High $2,089.30 | Facility | None | $501.19 | $1,230.27 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $95.50 | $120.23 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $37.15 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $64.57 | $79.43 | $104.71 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | None | $316.23 | $316.23 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $794.33 | Facility | None | $123.03 | $177.83 | $794.33 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $107.15 | $154.88 | $208.93 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $43.65 Typical High $93.33 | Professional | 26 · Professional part | $18.20 | $43.65 | $93.33 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $66.07 | $104.71 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $40.74 Median $85.11 Typical High $169.82 | Facility | None | $40.74 | $85.11 | $169.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $40.74 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $40.74 | $95.50 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,348.96 | Facility | None | $660.69 | $1,000.00 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $128.82 | $158.49 | $186.21 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $48.98 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $112.20 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $1,174.90 | Facility | None | $75.86 | $77.62 | $1,174.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $75.86 | $109.65 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $75.86 | $120.23 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $27.54 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $89.13 Typical High $371.54 | Professional | TC · Technical part | $48.98 | $89.13 | $371.54 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $45.71 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $18.20 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $85.11 | $123.03 | $123.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $109.65 Typical High $125.89 | Professional | 78 · Unplanned return to OR | $93.33 | $109.65 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $45.71 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $18.20 | $30.90 | $30.90 |
Where Idaho sits
The same service costs 5.4 times more in New York than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 13th of 51
$155
NY $355TX $66.07
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.